person
Jane C Pedersen, LCSW
Mental Health Counselor in Durango, Colorado
NPI 1922117621

Jane C Pedersen is a Mental Health Counselor based in Durango, CO and is specialized in Mental Health. Jane C Pedersen practices in Durango, CO and has the professional credentials of LCSW. The NPI Number for Jane C Pedersen is 1922117621 and holds a License No. 4607 (Colorado).

The current practice location address for Jane C Pedersen is 1075 Main Ave, Durango, CO and can be reached out via phone at 970-385-5266 and via fax at 615-296-2773.

Location: 1075 Main Ave, Durango, CO, 81301-5369
person
Provider Profile Details
NPI Number
1922117621
Provider Name
Jane C Pedersen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1075 Main Ave, Durango, CO, 81301-5369
Phone Number
970-385-5266
Fax Number
615-296-2773
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
560 01 CO LICCLINICALSOCIALWORKER
institution
Provider Business Practice Location Address Details
Address
1075 Main Ave
City
State
Zip
81301-5369
Phone Number
970-385-5266
Fax Number
615-296-2773
person
Provider Business Mailing Address Details
Address
1075 Main Ave
City
State
Zip
81301-5369
Phone Number
970-385-5266
Fax Number
615-296-2773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
560 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4607 (Illinois)
Definition
Definition to come...
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